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Communication Dans Un Congrès Année : 2016

High fidelity simulation in healthcare: negotiating the roles while negotiating the real.

Résumé

For the last thirty years in the USA, and earlier in Europe, a new practice has been developed in health care education: high fidelity simulation. A robot that plays the role of the patient allows medical teams to train at scenarios. National surveys about adverse events pointed out the impact of dysfunctions of communication methods within the teams : something that is locally, contingently, cooperatively produced. As a solution, surveys recommended the use and development of this practice (e.g Kohn et al. 2000, Michel et al. 2009) . The new challenge is then at the same time technological but first and foremost pedagogical: teamwork as an educational aim in its own right. This communication is drawn from a fieldwork we are conducting on medical simulated practices at the simulation department of a french university of medicine. Our theoretical approach is situated within the tradition of ethnomethodology (Garfinkel 1967) and multimodal conversation analysis (Mondada 2014, Nevile 2009). The aim of this research is to provide health care education professionals with an expertise on what they are actually trying to teach, to train for, and to evaluate, for these are topics that can be respecified through our disciplinary lenses. The health care professionals use two relevant roles while working as a team : the team leader and the team follower (West et al. 2015). During the sessions and its debriefings, trainers and trainees try to define and prescribe what a leader and a follower should do or not, and what they should have done or not. Our talk will focus on several interactional episodes video - recorded during simulation sessions. We will show how these roles are achieved and recognized through an interactional work of multimodal resources patterns, how they are still negotiated despite an initial agreement. We will show that these roles acquire new tasks regarding the simulation work (Hindmarsh et al. 2014) itself in this new sociotechnical environment. References: • Garfinkel H. (1967). Studies in Ethnomethodology. Englewood Cliffs, New Jersey : Prentice-Hall. • Hindmarsh J., Hyland L. & Banerjee A. (2014). Work to make simulation work: “Realism”, instructional correction and the body in training. Discourse Studies, 16(2), pp.247–269. • Kohn L.T., Corrigan J.M., Donaldson M.S. (Institute of Medicine), 2000. To err is human: building a safer health system. Washington, DC : National Academy Press. • Michel P., Lathelize M., Quenon J.L., Bru-Sonnet R., Domecq S., Kret M. (2011). Enquête Nationale sur les Evénements Indésirables graves liés aux Soins 2009 (ENEIS2). Rapport final à la DREES (Ministère du travail, de l’emploi et de la Santé), Février 2011. CCECQA, Bordeaux 2011 • Mondada L. (2014). Corps en interaction: participation, spatialité, mobilité. Lyon : ENS Éditions. • Nevile M. (2004). Beyond the Black Box. Talk-in-Interaction in the Airline Cockpit. Directions in Ethnomethodology and Conversation Analysis. Aldershot, UK : Ashgate. • West M., Armit K., Loewenthal L., Eckert R., West T., Lee A .(2015). Leadership and Leadership Development in Health Care: The Evidence Base. The Kings Fund, pp.1–36.

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Linguistique
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Dates et versions

hal-04517853 , version 1 (22-03-2024)

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  • HAL Id : hal-04517853 , version 1

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Lucien Tisserand. High fidelity simulation in healthcare: negotiating the roles while negotiating the real.. 6th STS Italia Conference: Sociotechnical Environments, STS Italia, Nov 2016, Trento (Italy), Italy. ⟨hal-04517853⟩
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